Failed attempted termination of pregnancy with other and unspecified complications
ICD-10 O07.3 is a billable code used to indicate a diagnosis of failed attempted termination of pregnancy with other and unspecified complications.
O07.3 refers to a situation where an attempted termination of pregnancy has failed, leading to complications that are either specified or unspecified. This can occur due to various reasons, including incomplete procedures, retained products of conception, or complications arising from the method of termination used. Clinically, this condition may present with symptoms such as bleeding, infection, or severe abdominal pain. Management typically involves thorough evaluation, which may include ultrasound to assess for retained products, and potential surgical intervention such as dilation and curettage (D&C) if necessary. The complexity of this code arises from the need to accurately document the circumstances surrounding the failed termination, the nature of the complications, and the subsequent management steps taken to ensure patient safety and health. Proper coding is essential to reflect the clinical scenario accurately and to facilitate appropriate reimbursement for the care provided.
Detailed documentation of the patient's history, the method of termination attempted, and any complications encountered is essential. This includes informed consent and counseling notes.
Patients presenting with complications after a medical or surgical abortion, including retained products of conception or infection.
Consideration of the patient's mental health and emotional state post-termination, as well as any legal implications surrounding the procedure.
Comprehensive documentation of maternal and fetal health, especially in high-risk cases where termination may be medically indicated.
Complex cases involving fetal anomalies or maternal health issues that necessitate termination.
In high-risk scenarios, additional documentation regarding the decision-making process and multidisciplinary consultations may be required.
Used when retained products of conception are identified after a failed termination.
Documentation must include indications for the procedure and any complications encountered.
Obstetricians should ensure that the procedure is well-documented to support the coding.
Documentation should include the method of termination attempted, any complications experienced, the patient's clinical status, and the management steps taken post-procedure. This ensures accurate coding and appropriate care.
